Risk of major complications following thyroidectomy and parathyroidectomy: Utility of the NSQIP surgical risk calculator - 25/04/18
Abstract |
Background |
The primary objective of this study was to determine rates of reoperation, ED visits, and hospital readmission after thyroid and parathyroid surgery at a tertiary hospital. A secondary objective was to determine if scores from the American College of Surgeons Surgical Risk Calculator (ACS SRC) predicted these events.
Methods |
We retrospectively reviewed the records of patients undergoing parathyroid and thyroid surgery between 2011 and 2014. Patients who underwent an unplanned reoperation, returned to the ED, or were readmitted to hospital were evaluated using the ACS SRC.
Results |
436 patients underwent thyroid and parathyroid operations. Rates of re-operations, ED visits and hospital readmissions after thyroid and parathyroid surgery were: 3.4%, 0.6% and 3.0% and 2.2%, 0% and 1.4%, respectively. 71% of patients who experienced post-operative complications scored below average on the ACS SRC, 17% scored above average and 12% scored average risk.
Conclusions |
The SRC did not predict re-operation, ED visits, or hospital readmission after thyroid or parathyroid operations.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Readmission rate after thyroid and parathyroid surgery was similar to NSQIP. |
• | Reoperation rate after thyroidectomy was 3.4%, most commonly due to hemorrhage. |
• | One surgeon was responsible for over 70% of all hematoma evacuations. |
• | Half of all emergency visits and hospital readmissions were due to hypocalcemia. |
• | The ACS SRC didn't predict reoperations, emergency visits or readmissions. |
Keywords : Hospital readmission, Unplanned reoperation, Surgical risk calculator, Emergency department visits, Hypocalcemia, Thyroid surgery
Plan
Vol 215 - N° 5
P. 936-941 - mai 2018 Retour au numéro
Article précédent
- Discussion of: “Pre-surgical chemotherapy for breast cancer may be associated with improved outcomes”
- Kristen Massimino
- Discussion of “Risk of major complications following thyroidectomy and parathyroidectomy: Utility of the NSQIP surgical risk calculator”
- John T. Vetto
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